Tina Marie Johnson, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

22927 Issued in CA

Practice address

3960 N Studebaker Rd Ste 102
Long Beach, CA 90808-2458

Phone

(562) 982-4208

Fax

(562) 286-8344

NPI assigned

May 3, 2013

Last updated

Aug 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Tina Marie Pineda Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apex Physical Medicine

  • General Practice Physician
  • Long Beach, CA
  • NPI 1154920858
  NPD
• Matthew Ross Egbert DC Inc

  • Chiropractor
  • Santa Maria, CA
  • NPI 1235522152
  NPD
• Wimmer and Redman Chiropractic Inc

  dba Apex Chiropractic

  • Chiropractor
  • Long Beach, CA
  • NPI 1336785310
  NPD
• Pourteymoor Chiropractic, a Professional Corporation

  • Chiropractor
  • San Pedro, CA
  • NPI 1780921619
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1073958070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 N STUDEBAKER RD STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082458",
            "telephone_number": "562-982-4208",
            "fax_number": "562-286-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 N STUDEBAKER RD STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082458",
            "telephone_number": "562-982-4208",
            "fax_number": "562-286-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "22927",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FURNISHING",
            "identifier": "22927",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "483629",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tina@apexchiroandmed.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secured Health Information",
            "address_1": "3960 N Studebaker Rd Ste 102",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908082458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "PINEDA",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Silas M Johnson
• Spring Johnson, PHD
• Sue Burns Johnson, M.A., CCC, SLP
• Tanesha Johnson
• Tanika Johnson
• Yvette Marie Johnson, DC
• Skylar G Johnston, RN
• Joint Institute, Inc
• Andrew William Jonas, LMFT
• Michael Jonas

• Family Nurse Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.